Active NPI
Mid Hudson Interventional Pain Management
- Rehabilitation Hospital Unit
- Newburgh, NY
National Provider Identifier
1861715633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- 198896-1
- Legal business name
- MID HUDSON INTERVENTIONAL PAIN MANAGEMENT
- Practice address
- 21 N Plank Rd
Newburgh, NY 12550-2128 - Phone
- (845) 565-5943
- Fax
- (845) 234-4564
- NPI assigned
- Mar 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cathy Jillson
- Title
- Office Manager
- Phone
- (845) 565-5943
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 198896-1 | NY | Primary |
Addresses
Primary practice location
21 N Plank Rd
Newburgh, NY 12550-2128
Mailing address
21 N Plank Rd
Newburgh, NY 12550-2128
Phone (845) 565-5943
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2005348 | Mid Hudson Interventional Pain Management PC | Certificate of waiver | Mar 24, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268092800000",
"number": "1861715633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 N PLANK RD",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125502128",
"telephone_number": "845-565-5943",
"fax_number": "845-234-4564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 N PLANK RD",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125502128",
"telephone_number": "845-565-5943",
"fax_number": "845-234-4564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID HUDSON INTERVENTIONAL PAIN MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A",
"authorized_official_last_name": "JILLSON",
"authorized_official_first_name": "CATHY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "845-565-5943",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "NY",
"license": "198896-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.